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Borderline conditions are a growing presence in the treatment room, yet they are uncommonly resistant to treatment. Dr. Kernberg and his colleagues have already articulated the modality they call Transference-Focused Psychotherapy. Now, in an unusually textured elaboration, they confront the complications that limit treatability -- co-existing psychopathologies, early trauma/dissociation, problems endemic to the therapeutic situation (attachment disturbances, erotic transferences) -- and bring new rounds of clinical ammunition to meet those challenges.

Otto Kernberg, M.D., an international authority on borderline treatment and a leader in psychoanalytic thought, is Director of the Personality Disorders Institute at New York Presbyterian Hospital, where the associate authors, all practicing clinicians, collaborate in research.